DIN/PIN/NPN Detail

92:00 UNCLASSIFIED THERAPEUTIC AGENTS

LU Criteria Text

Urso DS (URSODIOL)500mg Tab

DIN/PIN/NPN:02245894

Interchangeables:

Manufacturer:

Axcan Pharma Inc.

Formulary Listing Date:

2004-04-06

Drug Benefit Price or Unit Price:

3.1751

Amount MOH Pays:

0.7242

Coverage Status:

Limited Use Product